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Use of Information Technology (IT) is growing in public health programme but has not percolated to grass-root level in most of
the programme in India. Effective use of IT can reduce the time for data flow, initiate timely action and can substantially improve
the delivery of public health services. The choice and modality of using IT system is however critical in deciding the success of any
such intervention. The focal point of entire immunization programme is availability of vaccines in right quantity for every session.
Vaccines are stored in cold chain located from National stores upto small health facilities at villages/towns. Profile of people handing
vaccines at various levels is also very vivid ranging from Pharmacist at higher nodes to nurses and mid-wife at lower levels. A single
type of technology catering to all nodes is challenging because of differences in infrastructure, electrical supply, internet connections,
users profile, education qualification, exposure and capacity to handle devices etc. In our intervention for streamlining vaccine
management, users at upper nodes were familiar with use of computers and online access while at lower node had no knowledge or
experience in these domains. Mobile phone use was well prevalent at all level but this too had a difference. While the personnel at
upper node mostly had an exposure to use smart phone, majority of lower node users have used only basic phones. We, therefore,
selected an IT system with flexibility to use computers, smart phones and basic phones at any level. The uptake of this methodology
has been promising and successful in real-time management of vaccine stocks at all levels.